Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $146.91 / $275.00	Professional		$106.81	$146.91	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.57 / $43.43 / $89.31	Professional	26	$35.57	$43.43	$89.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $604.69 / $604.69 / $604.69	Professional	50	$604.69	$604.69	$604.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.90 / $94.50 / $200.77	Professional	TC	$56.90	$94.50	$200.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $151.44 / $189.30	Professional		$132.51	$151.44	$189.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.17 / $40.19 / $50.24	Professional	26	$35.17	$40.19	$50.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.34 / $111.25 / $139.06	Professional	TC	$97.34	$111.25	$139.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.14 / $47.14 / $47.14	Facility	26	$47.14	$47.14	$47.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $150.19 / $227.39	Professional		$108.45	$150.19	$227.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.01 / $53.02 / $94.56	Professional	26	$38.01	$53.02	$94.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.88 / $95.56 / $146.26	Professional	TC	$62.88	$95.56	$146.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $214.20 / $214.20 / $214.20	Facility	26	$214.20	$214.20	$214.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $138.24 / $834.21	Professional		$99.62	$138.24	$834.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.15 / $50.76 / $261.89	Professional	26	$38.15	$50.76	$261.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.33 / $89.70 / $595.82	Professional	TC	$57.33	$89.70	$595.82
United Facility/Professional Professional Modifier Low / Median / High Price $96.69 / $128.88 / $209.56	Professional		$96.69	$128.88	$209.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $46.36 / $79.31	Professional	26	$37.82	$46.36	$79.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.32 / $78.25 / $132.10	Professional	TC	$56.32	$78.25	$132.10